Dentistry Today — September 2017

Inside this issue

Excerpts from the issue. Open the digital edition to read any page in full.

1. Page 3

   Load fast, finish fast The AnyRidge patented knife-thread design and XPEED S-L-A with nano calcium ion surface treatment deliver faster cell proliferation, immediate stability, and fast osseointegration. And our MegalSQ stability meter provides a guide for optimal loading decisions and the confidence you need to load faster or immediately. Match thread diameter to bone density for maximum stability This allows for immediate or faster loading, fewer office visits, the ability to perform more cases, and to realize faster payments. Core Diameter (mm) | Thread Diameter (mm) | Length (mm) 2.8 | 3.5 | 8.5, 10, 11.5, 13, 15 3.3 |…

2. Page 8

   Emphasizing Materials and Technologies THE DENTAL ADVISOR partnered with Dentistry Today back in 2010 to present a new section to our clinical news magazine, Clinical Reviews. This section continues to assist clinicians during the often challenging decisions faced when buying dental materials and equipment. Located in Ann Arbor, Mich., THE DENTAL ADVISOR was founded in 1984 by Dr. John Farah and co-founder, Dr. John Poer. Throughout the years, THE DENTAL ADVISOR has been a strong advocate for dentists and their teams as professional consumers, by presenting timely and objective information related to clinical satisfaction with a product and product quality.…

3. Page 10

   Reducing the Threat of Antimicrobial Resistance AVERTING AN IMPENDING MEDICAL CRISIS The United Kingdom (U.K.)—a US ally—recently led an international charge against the global threat of increasing antimicrobial resistance (AMR). Many believe AMR to be a global threat to modern medicine. One of those sharing this belief is the U.K.'s Secretary of State for Health, Jeremy Hunt, who said, "Antimicrobial resistance is perhaps our biggest global health threat—it could nullify the progress of over a century of modern medicine and kill millions." To date, 153 nations, including the United States and Canada, have signed an international referendum and committed to…

4. Page 12

   VIEWPOINT continued from page 10 antibiotic oral rinses can be combined with antibiotic pills for sustained and superior results. There will always be a role for systemic antibiotics. However, most of the time, moderate infections can be controlled with antibiotic rinses alone. What's more, antibiotic pills still have an important role as a prophylactic treatment if there is a history of valve replacement, heart transplant, infective endocarditis, or heart surgery to repair ventro-septal defects before the age of 6 months. As you read this, you may be wondering if these rinses are strong enough? In my opinion, definitely Antibiotic rinses…

5. Page 14

   What's New on Technique of the Week The Cementation Revolution From BISCO BISCO's informative video for its revolutionary TheraCem cement demonstrates the product's unique properties using a refreshingly light-humored approach in a chart-based, easy-to-follow, 1.5 minute online message. The video shows that the dual-cured, calciumand fluoride-releasing, self-adhesive resin cement is used for luting crowns, bridges, inlays, onlays, and all types of posts. Its high degree of conversion is also clearly shown. TheraCem delivers a strong bond to zirconia and most substrates, along with easy clean up and high radiopacity. It offers clinicians reliable and durable cementation of most indirect restorations…

6. Page 16

   FOCUS ON: Material Advancements Howard S. Glazer, DDS, discusses the latest technologies and dental materials for the general practice. Q: As the author of the popular AGD IMPACT column "What's Hot & What's Getting Hotter" and a frequent lecturer, how do you go about finding new products, materials, and technologies to evaluate? A: There are several ways this happens. First, manufacturers will send products to me for evaluation during or prior to launching them to the dental profession. In some cases, I am part of the development process for new materials and products. I will say too, that many times…

7. Page 18

   A Well Respected Man Paul Feuerstein, DMD When I first came across the CAO Group at a dental meeting, I wondered how the Canadian Association of Ortho-dontists got involved in marketing lasers. After some quick research, I found an amazing scientist and entrepreneur, Dr. Densen Cao. I had a chance to meet Dr. Cao last year and recently decided to interview him, as his name keeps coming up in my conversations about curing light and laser manufacturers. After finishing his undergraduate studies in China, he came to the United States and received his PhD in Materials Science and Engineering at…

8. Page 19

   Lasers NON-DIODE LASERS Convergent Dental Solea is the first and only laser that can cut any tissue simply by using a variable speed foot pedal, giving the user total control. Its revolutionary software is so easy to use that the difficult beam at the desired tissue, and step on the variable speed foot pedal to deliver reliable anesthesia-free, blood-free, suture-free, and pain-free results. With Solea, dentists experience dramatic efficiency gains, perform multiquadrant dentistry, and can now offer soft-tissue procedures that are often referred to. For more information, call (844) GO-SOLEA (467-6532) or visit convergentdental.com. FREEinfo, J. Morita USA AdvErl. Evo…

9. Page 20

   NON-DIODE LASERS BIOLASE Waterlase Express is the smallest, easiest, and most cost-effective Waterlase yet. It now has the power and simplicity to solve dental problems beyond expectation. The versatile and gentle combination of laserenergy and water has the power to relieve dental anxiety at the source—for your team, the patients you serve, and you. Providing innovation made easy, you can tap a procedure, watch the step-by-step animations, and grab the opportunity to offer unique patient care while rejuvenating the practice. For more information, call (888) 676-6051 or visit the website located at biolase.com. FREEinfo, The Waterlase iPlus uses patented technology…

10. Page 22

    Epic Pro is the first premium diode laser providing innovations that will allow dental professionals to manage soft tissue in a way that no other diode laser has achieved. It features profession-first Super Thermal Pulse technology, real-time Automatic Power Control, and pre-initiated pro trials with Smart Tip technology to provide unmatched cutting speed, consistency, safety, and precision. Epic Pro redefines soft-tissue management and provides greater value to dental practices than traditional diode lasers. For more information, call (888) 676-6051 or visit biolase.com. FREEinfo, Epic X provides the capabilities of surgery, whitening, and pain relief—all at your fingertips. It is portable,…

11. Page 24

    Spotlight System Provides Optimal Electric Solutions, Improves Efficiency CHARLOTTE, NC—KaVo's new ELECTROmatic control system provides an optimal electric solution for your practice and helps you to improve your efficiency, provide better patient care, and increase your confidence in handling complicated cases. It delivers constant speed and constant torque, allowing precise preparations at the defined speed. Easily adjust the speed on the control system display for a wide range of indications. In combination with KaVo's handpieces, the electric systems provide stable control from 5 to 200,000 rpm for efficient and highly precise working. ELECTROmatic features an intuitive user interface. Its simple…

12. Page 26

    Spotlight Clear Aligners Discreetly Correct Malocclusion Cases ROUND ROCK, Texas—Founded by dentists in 2006, ClearCorrect has helped more than 20,000 doctors around the world correct simple and complex malocclusion with its affordable, effective, and discreet clear aligners. The company designs and manufactures its products in Round Rock. ClearCorrect is now offering new customizable Flex and fully featured Unlimited pricing options for US providers. For more information, call ClearCorrect at (888) 331-3323 or visit clearcorrect.com. FREEinfo, #1 Dental Refiner in the Nation Stop using a cash buyer! Earn hundreds, maybe even thousands, for your dental practice, by refining your dental scrap,…

13. Page 28

    Refiner Delivers Accurate and Precise Analysis of Dental Scrap CARY, Ill—As a top refiner for the dental industry, Core Scientific delivers an accurate and precise analysis of your dental scrap, without the guesswork. The company uses the latest methods and expert technologies to extract the most precious metals from your scrap to give you the highest returns every time. Core Scientific knows many dental offices are throwing away this material or selling them to unscrupulous cash buyers, losing out on hundreds—if not thousands—of additional income for their practice. That is why, as an AACD, AAOMS, and AADGP corporate sponsor, Core…

14. Page 29

    Intraoral Scanner Delivers Flawless Accuracy and Details RICHARDSON, Texas—The new Planmeca Emerald, an ultra-lightweight intraoral scanner, delivers flawless accuracy and detail at a lightning-quick speed. An ergonomic design with single-handed, 2-button operation provides clinicians with superior control and unparalleled patient comfort. Automatic fog prevention within the seamless, compact scanner tips, assures clinicians of continuous, uninterrupted scanning. Autoclavable, secure evidence lock tips prevent cross-infection and increase patient safety. By harnessing the power of a multicolor, laser-based scanning system, the Planmeca Emerald captures images in a vibrant color palette. The Plug N Play portability enables sharing between PCs in multiple operatories. A…

15. Page 30

    Accessory for Light Guide Can Better Accommodate Smaller Patients DANBURY, Conn.–AdDent introduces a new and improved accessory for its Microlux Diagnostic Systems—the Pedo Light Guide. Designed to be shorter than AdDent's standard light guide, it will fit better in the mouths of children and adolescents, and by using it to visualize cracks, caries, and calculus during an examination, the cumulative negative effects of x-rays can be reduced. Other accessory guides available for the Microlux Systems are 2- and 3-mm (standard) glass light guides, a DL oral cancer screener, a lighted mirror, a 1.0-mm Endo Lite, and a 0.75-mm Proximal and…

16. Page 31

    Two Essential Procedures to Strengthen Your Practice Bruce L. Cassis, DDS INTRODUCTION Dentistry is in an excitingly evolving transition. Patient behaviors are constantly changing, new technologies are flooding our practices, and the winds of economic change are creating opportunities for dentists to approach the profession in new ways. As you review your day to day practice, you may be facing questions as the winds of change blow through your waiting rooms. What technologies should you add to your practice? What and when should you consider upgrading? What new technologies will create the most value for your practice? What kinds of…

17. Page 32

    TECHNOLOGY through offering state of the art technology, with a heavy emphasis on same day dentistry. Like most dentists, I have a strong desire to take care of people and to be active in the local community. The challenge of delivering a great patient experience, by getting the dentistry completed as quickly and with as few complications as possible, is what excites my team every day. My team and I operate with 7 treatment rooms: 4 for restorative and 3 for hygiene. All rooms are interchangeable depending on the types of services in demand, as all of our lasers, 3-D…

18. Page 33

    Lasers [and] 3-D CAD/CAM...are just a few of the technologies that can help general dentists grow and flourish. the Waterlase iPIus laser and the REPaiR Perio protocol (BIOLASE). The initial step involved completing full-mouth therapeutic scaling and root planing using scalers (Hu Friedy) and the Cavitron (Dentsply Sirona). The patient was then scheduled for a follow-up appointment at 6 weeks and re-evaluation for REPaiR Perio therapy. At the follow-up appointment, the patient still exhibited signs of moderate periodontitis. This time was used to conduct the REPaiR Perio protocol (Figure 4), including de-epithelialization of the gingiva, avascular debridement and degeneration, and…

19. Page 34

    Spotlight Stripping System Helps Dentists Perform Interproximal Enamel Reductions ROCK HILL, SC-Komet USA unveiled an advanced stripping system to help dentists more easily, efficiently, and accurately perform interproximal enamel reductions on adult patients being prepared to receive braces fixed at the buccal or lingual side of the tooth or prior to treatment with dental aligners. The DISCstance IPR system (Kit 4671) is designed to simplify and speed up the task of stripping when indicated for correcting lower jaw tooth sizes that are disproportionate to those of the upper jaw, for eliminating crowding, and for creating full-surface contact (especially in the…

20. Page 37

    Spotlight Dry Mouth Product Releases Xylitol and Stimulates Saliva to Reduce Plaque SEATTLE—OraCoat XyliMelts is a patented, dry mouth product that sticks to the gums on the outside of a molar, releasing 0.5 g of xylitol, which stimulates saliva via a sweet flavor and reduces plaque and new cavities. It also produces a cellulose gum that turns a small amount of saliva into a gel while coating and lubricating the mouth. Xylitol, which is slowly released in the mouth so that it lingers, is most effective for the reduction of plaque and the prevention of new cavities. For more information,…

21. Page 38

    Whitening Solution Offers Ability to Speak Normally While Wearing the Device WEST JORDAN, UTAH–CAO Group's Sheer White is the ultimate whitening solution that lets you speak normally and even have a drink while achieving whiter teeth. With carbamide peroxide as the active ingredient, a more stable and predictable whitening is delivered. Experience decreased sensitivity and a gentler whitening. Sheer Film technology makes for a comfortable 2-hour treatment with fast results. For more information, call CAO Group at (801) 256-9282 or visit caogroup.com/sheerwhite.html. FREEinfo, Nanohybrid Composite Achieves Superior Physical and Aesthetic Results THE VILLAGES, Fla–Easily and confidently create long-lasting, natural-looking restorations…

22. Page 39

    Fixed Attachment System for Full-Arch Restorations Offers No Compromise to Prosthesis Strength or Aesthetics CARLSBAD, Calif.–With the LOCATOR FTx, Zest Dental Solutions introduces a new way to think about fixed full-arch restorations that addresses the inherent limitations of conventional screw-retained and cemented solutions, such as (1) the need for screw access channels and (2) the potential for subgingival cement when attaching the prosthesis to the abutments. Fixed for the patient yet easily removed by the clinician, the LOCATOR FTx is a simplified fixed attachment system for full-arch restorations that offers no compromise to prosthesis strength or aesthetics. Optimized for efficiency…

23. Page 40

    Rotary Files Possess Progressive Taper Design BURNABY, BC, Canada With its progressive taper design, heat-treated construction, and superior cutting efficiency, DiaDent's new Dia X rotary files offer extreme flexibility, strength, safety, and reliable clinical results. The files provide 143% more resistance to cyclic fatigue than Dia PT rotary files. Each Dia X rotary file's convex triangular cross section reduces rotational friction and contact with the canal wall. The heat-treated surface is also coated, providing superior resistance. The Dia X rotary file handle is only 1.1 mm, offering improved accessibility to teeth. Its flat, non-cutting file tip efficiently and safely removes…

24. Page 41

    Implant System Is Engineered to Meet the Demands of Modern Dentistry NEWPORT BEACH, Calif.-Named the official system of the Misch International Implant Institute, Glidewell Laboratories' Hahn Tapered Implant System is precisely engineered to meet the demands of modern implant dentistry. Designed by implant pioneer Dr. Jack Hahn, Hahn Tapered Implants allow for precise control during placement, efficient insertion, and excellent primary stability. With implant-specific drills and time tested features enhanced by cutting-edge design, the Hahn Tapered Implant System enables clinicians to enhance the quality of treatment while reducing the cost of care. For more information, call Glidewell Laboratories at (800)…

25. Page 42

    Implant System Allows Abutments to Be Used on Wide Range of Diameters PORTSMOUTH, NH—The KAT system is built around a single external locking taper platform, which allows the same abutments to be used on implants ranging in diameter from 3.5 to 6.5 mm and in length from 6 to 11 mm. Solid body design, locking taper connection, and the absence of a microgap between abutments and implants are just a few of the aspects that distinguish the KAT implants system from competitors. For more information, call KAT Implants at (877) 528-7978 or (603) 427-0084 or visit katimplants.com. FREEinfo, Universal Composite…

26. Page 43

    INNOVATIONS 43 LED Curing Light Can Polymerize Nearly All Light-Cured Dental Materials RACINE, WIS–Vista Dental Products introduces the VALIANT LED curing light that produces uniform, high-intensity light in the 395 to 500-nm wavelength range. As a multispectral curing light, it is capable of polymerizing nearly all light-cured dental materials, making it one of the most versatile curing lights on the market. The VALIANT combines an optimized, clover-shaped LED arrangement with precision optics to provide a uniform beam through 3 curing modes (standard, ramp, and boost) for user preference. The irradiance is 1,200 mW/cm² for standard and ramp modes, and 2,500…

27. Page 44

    NEWS/TRENDS Industry News Patterson Dental to Distribute KaVo Dental Technologies Solutions Patterson Dental will now distribute KaVo Dental Technologies' DEXIS and i-CAT imaging solutions. The DEXIS lineup includes the PerfectSize intraoral sensor, the CanVu caries and lesion detector, the DEXcam 4 HD intraoral camera, and DEXIS Suite imaging software. Also, the addition of the i-CAT FLV series 3-D platform means that of KaVo Kerr's extraoral imaging products will be available from Patterson. "By introducing these 2 important product lines to our customers, we're providing more options as well as additional opportunities for practitioners to engage with our unrivaled service and…

28. Page 46

    NEWS/TRENDS The University of Michigan Named World's Best Dental School The University of Michigan School of Dentistry is the top dental school in the world, according to ShanghaiRanking, which judged institutions based on their research productivity, research quality, extent of international collaboration, amount of research published in clinical journals, and the number of significant awards faculty received from professional organizations in its 2017 Academic Ranking of World Universities (ARWU). "We have a long tradition across 100 universities to gather its results. The University of Michigan attributes these honors to its strong links between clinical teaching and research. More than 2,100…

29. Page 48

    MEETINGS/SEMINARS Peyton Manning Huddles Up at ADA 2017 ADA 2017 AMERICA'S DENTAL MEETING October 19-23 • Atlanta Education: October 19-22 • Exhibitions: October 19-23 House of Delegates: October 20-23 One of the industry's premier events is just around the corner: the American Dental Association's annual meeting. ADA 2017, will take place from October 19 to October 23 at the Georgia World Congress Center in Atlanta. ADA 2017 will feature more than 250 continuing education (CE) courses, including an oropharyngeal cancer symposium (the day before the event, October 18); hands-on cadaver workshops for procedures such as dental veneers, bone grafting, and…

30. Page 50

    Delivering a One-Two Punch to Head and Neck Cancer A team of University of California, Los Angeles (UCLA) School of Dentistry scientists led by Dina Weng, DDS, PhD, found that targeting cancer stem cells holds promise for overcoming treatment resistance and metastasis of head and neck squamous cell carcinoma. The team's findings were published May 4, 2017, in Cell Stem Cell. Cancer stem cells can stay alive indefinitely and turn into any of the cell types that make up a tumor. Scientists think that cancer stem cells trigger the initial growth of a tumor and may even drive its invasion…

31. Page 51

    New Dental Biomaterials Developed Salvatore Sauro, Professor of dental biomaterials and minimally invasive dentistry at CEU Cardenal Herrera University in Spain, has collaborated with researchers from Finland, Brazil, Belgium, Germany, and the United Kingdom on the development of innovative dental biomaterials for the regeneration of dental hard tissues. This research generated 2 new dental restorative biomaterials containing bioactive glasses. The aim of the study was to evaluate the inhibition of endogenous proteolytic enzymes of dentin and the remineralization induced by 2 different innovative experimental resins containing bioactive glasses—one containing microparticles of Bioglass 45S5 and the other one containing microparticles of…

32. Page 52

    In First Impressions, George Freedman, DDS, gives readers a brief summary of products that have recently been introduced to dentistry, based on his clinical experience. Aquasil Ultra+ Impression Material Dentsply Sirona Restorative Impression materials must be accurate the first time, every time. They must function effectively and efficiently in all clinical situations, they must perform precisely in moist environments, and they must set within their designated times for patient comfort and a smooth practice. These are the properties that enhance clinical success and optimal productivity. Recently introduced by Dentsply Sirona Restorative, the advanced Aquasil Ultra+ Smart Wetting Impression Material delivers…

33. Page 53

    Advocating for Quality Products and Care In an interview conducted by Dr. Damon Adams, Dentistry Today's editor-in-chief, Dr. Sabiha Bunek, THE DENTAL ADVISOR's CEO and editor-in-chief, discusses her dental career and how the organization continues to play a leading role in the industry that is important for manufacturers, clinicians, and patients. How did you first become involved working with THE DENTAL ADVISOR? Dr. Bunek: Early in my career, in addition to doing clinical dentistry, I began attending weekly meetings at THE DENTAL ADVISOR. The dynamics and intellect of the group kept me engaged, and soon I found myself volunteering to…

34. Page 56

    Advocating for Quality Products... continued from page 54 How are the top awards determined? Dr. Bunek: Once a year, in the fall, we vote on the top products from each category. Because there are several highly rated products to choose from, we speak from our experience of evaluating the products either clinically or in our laboratories or from both. The best products naturally rise to the top and are tough to beat. The preferred product is one that was the leading competitor to the award winner and deserves note as it rated very highly as well. Our awards are earned…

35. Page 58

    58 2017 Product Awards PREPARATION DENTAL NEEDLE Septoject Evolution ++++½ Septodont | (800) 872-8305 | septodontusa.com Why we chose this product: • "I liked the ease of penetration, insertion, and injection. Tip is sharp." • "Less tissue deflection and tearing." • "The bevel and orientation markings are helpful." Septoject Evolution dental needles feature a scalpel-designed bevel for greater control and reduced discomfort. The needles have a polished and siliconized canula. These single-use, sterile needles are made of high-grade surgical stainless steel tubing. The needles are prethreaded and have a bevel mark to indicate bevel location and an orientation mark on…

36. Page 60

    60 2017 Product Awards DIRECT RESTORATIVES SECTIONAL MATRIX Composi-Tight 3D XR Sectional Matrix System +++++ Garrison Dental Solutions | (888) 437-0032 | garrisondental.com Why we chose this product: • "Blue rings are retentive and stable on teeth." • "I thought the original 3D was a good product, but the new blue face is even better." • "Great contours and contacts with very little finishing needed." The Composi-Tight 3D XR Sectional Matrix System is designed to create tight, anatomical contacts on Class II composite restorations. The system's rings are produced with Soft Face silicone to enhance matrix band adaptation and improve…

37. Page 64

    64 2017 Product Awards LED CURING LIGHT Bluephase Style ++++ Ivoclar Vivadent | (800) 533-6825 | ivoclarvivadent.com Why we chose this product: • "Lightweight and ergonomically friendly." • "Easy to get into tight spaces; quiet operation." • "Easy, stable docking." Bluephase Style is a cordless LED curing light designed with "polywave" broadband spectrum technology, making it suitable for the polymerization of light-curing dental materials between the wavelengths of 385 to 515 nm. This includes restoratives, bonding agents/adhesives, bases, liners, fissure sealants, temporaries, and luting materials for brackets and indirect restorations. It has a light intensity of 1,100 mW/cm² and curing…

38. Page 66

    66 2017 Product Awards COMPOSITE CORE MATERIAL Visalys Core Kettenbach | (877) 532-2123 | kettenbach.com Imprint 4 VPS impression materials are indicated for all standard impression techniques. They are formulated to have exceptional hydrophilic properties for exceptional detail and accelerated setting due to an "active self-warming" chemical reaction. The Imprint 4 line includes tray and wash materials available in Regular and Super Quick set with a peppermint flavor. FREEinfo, BITE REGISTRATION Futar Fast Bite Kettenbach | (877) 532-2123 | kettenbach.com DYNAMIC MIXER Dynamix Speed Kulzer | (800) 431-1785 | kulzerus.com FIBER POST ParaPost Taper Lux +++++ Coltene | (330) 916-8800…

39. Page 67

    67 2017 Product Awards CEMENTS: TEMPORARY, NONEUGENOL Temp-Bond NE ++++ ½ Kerr | (800) 537-7123 | kerrdental.com "This product is one of the best innovations in dentistry—less steps and no more etching with hydrofluoric acid gel." "Much easier to rinse off than HF acid gel." "Lab testing performed by THE DENTAL ADVISOR—SOR confirmed excellent bond strengths when using this new primer with lithium disilicate ceramics." Monobond Etch & Prime is the first single-component ceramic primer in the world, which allows you to etch and silane glass-ceramic surfaces in one easy step. At the same time, the solution cleans away any…

40. Page 72

    72 2017 Product Awards LONG-TERM PERFORMER: ZIRCONIA BruxZir Solid Zirconia Crowns and Bridges +++++ Glidewell Laboratories | (800) 854-7256 | glidewelldental.com Why we chose this product: • "Great option for second molars because minimal occlusal reduction is required (0.5 to 1.0 mm)." • "The recalled BruxZir restorations looked great and had excellent anatomy and surface finish." • "I use BruxZir for all molars and bridges. I have not had any failures to date." BruxZir Solid Zirconia is a monolithic zirconia crown, bridge, screw-retained implant crown, inlay, or onlay with no porcelain overlay. Users will be impressed with its aesthetics when…

And 37 more pages — read the whole issue.